Clinical Gastroenterology Vol.25 No.6(7)

Theme GIST : Current Progress on Diagnosis and Treatment
Title Molecular Targeted Therapy for Gastrointestinal Stromal Tumors (GISTs)
Publish Date 2010/06
Author Seiko Saito Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama
Author Toshiro Sugiyama Department of Gastroenterology and Hematology, Faculty of Medicine, University of Toyama
[ Summary ] Developments in molecular targeted therapy have improved the prognosis for patients with unresectable or metastatic gastrointestinal stromal tumors (GIST). In Japan, imatinib is approved as a first-line therapy, while sunitinib is approved for imatinib-resistant GISTs. The effect of these drugs depends on the site of c-kit gene mutations related to oncogenesis. Imatinib has also been demonstrated to have an adjuvant effect to prevent post-surgical recurrence against high-risk GIST patients having complete resection. However, the duration of administration of medications and the indications for them are under investigation.
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